腹腔镜胆囊造瘘术治疗梗阻性黄疸

Z. Rifatbegović, A. Mestric, Z. Mehmedović
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引用次数: 0

摘要

在老年和危重患者急性胆囊炎保守治疗失败时,胆囊造瘘被认为是一种治疗选择。本文的目的是提出胆囊造口术治疗梗阻性黄疸的最终手术前的根本原因黄疸。患者一般情况不佳,伴梗阻性黄疸,诊断为胰头肿瘤。他做了腹腔镜胆囊造口术。在一般情况改善和总胆红素水平降低后,患者接受了最终手术。结果表明,在梗阻性黄疸的最终治疗前,腹腔镜胆囊造口术可以成功地为一般情况较差的患者提供充分的胆汁引流。
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Laparoscopic cholecystostomy in treatment of obstructive jaundice
Cholecystostomy is considered to be a treatment option when conservative treatment of acute cholecystitis failed in elderly and critically ill patients. The aim of this paper is to present a cholecystostomy in the treatment of obstructive jaundice before the definitive operation for the underlying cause of jaundice. The patient in poor general condition with the obstructive jaundice was diagnosed to have a pancreatic head tumor. He had undergone the laparoscopic cholecystostomy. After improvement of the general condition and lower total bilirubin level, the patient had undergone to definitive procedure. It is shown that laparoscopic cholecystostomy can be a successful way for adequate bile drainage in a patient with poor general condition before the definitive treatment of obstructive jaundice.
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